NATIONAL SOCIETY OF THE SONS OF THE AMERICAN REVOLUTION PREMIUM MEMBERSHIP MEDAL COMMITTEE PREMIUM MEDAL ORDER FORM PRICE LIST FOR THE MONTH OF SEPTEMBER 2019 (Prices Valid ONLY for the Month Indicated Above) LARGE PREMIUM SAR MEMBERSHIP MEDAL Price Each Quantity Total □ Gold Plated Over Sterling Silver $405.00 $ □ Gold Plated Over Bronze $230.00 $ □ 10k Gold $2,275.00 $ □ 14k Gold $3,435.00 $ RIBBON FOR LARGE MEDAL (not incl. above) Price Each Quantity Total □ Neck Ribbon $35.00 $ □ Chest Ribbon Drape $20.00 $ MINIATURE PREMIUM SAR MEMBERSHIP MEDAL Price Each Quantity Total □ Gold Plated $125.00 $ □ Gold Plated (20 µ) Over Sterling Silver $197.50 $ □ 10k Gold $500.00 $ □ 14k Gold $790.00 $ CROSS PREMIUM SAR CUFFLINKS Price Each Quantity Total □ Gold Plated Over Sterling Silver $362.00 $ □ 10k Gold $1,000.00 $ □ 14k Gold $1,450.00 $ MEDALLION PREMIUM SAR CUFFLINKS Price Each Quantity Total □ Gold Plated Over Sterling Silver $197.50 $ □ 10k Gold $670.00 $ □ 14k Gold $985.00 $ CROSS PREMIUM SAR TIE BAR Price Each Quantity Total □ Sterling Silver $156.00 $ □ Gold Plated Over Sterling Silver $185.00 $ MEDALLION PREMIUM SAR TIE BAR Price Each Quantity Total □ Sterling Silver $124.00 $ □ Gold Plated Over Sterling Silver $154.00 $ CONTINUED ON REVERSE CROSS PREMIUM SAR TIE TACK Price Each Quantity Total □ Sterling Silver $91.00 $ □ Gold Plated Over Sterling Silver $106.00 $ MEDALLION PREMIUM SAR TIE TACK Price Each Quantity Total □ Sterling Silver $58.50 $ □ Gold Plated Over Sterling Silver $73.50 $ SUBTOTAL FOR PREMIUM ITEMS $ SHIPPING USPS PRIORITY MAIL – $8.50 ($3.00 if only ordering ribbons) $ TOTAL PAYABLE to CITY PRIDE, LTD. $ REQUIRED DONATION TO SAR FOUNDATION FOR SAR EDUCATION CENTER & MUSEUM PROJECT Sales will raise money for the SAR Education Center & Museum Project (Applied to the Rigel matching challenge) Amount Total □ LARGE PREMIUM SAR MEMBERSHIP MEDAL $250.00 $ □ MINIATURE PREMIUM SAR MEMBERSHIP MEDAL $25.00 $ □ PREMIUM SAR CUFFLINKS $25.00 $ □ PREMIUM SAR TIE BAR / TIE TAC $25.00 $ TOTAL PAYABLE to SAR FOUNDATION $ NAME: ADDRESS: CITY/STATE/ZIP: PHONE # E-MAIL ADDRESS: NSSAR STATE SOCIETY: NSSAR NUMBER: Please send the completed form and both checks to: Stephen Renouf, Chairman NSSAR Premium Membership Medal Committee 16123 Paseo del Campo San Lorenzo, CA 94580 [email protected] SAR Premium Membership Medal The Sons of the American Revolution is pleased to announce the production of a high quality replica of the original 1890’s Tiffany Style Membership Medal. The new medal is struck in sterling silver and plated in gold. SAR Premium Miniature Membership Medal CROSS STYLE SAR Premium Cuff Links MEDALLION STYLE CROSS STYLE CROSS STYLE SAR Premium MEDALLION STYLE Tie Bar/Tack MEDALLION STYLE National Society of the Sons of the American Revolution .